HOLLY J BENJAMIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031068

License Status

EXPIRED

Business

First Name

HOLLY J

Last Name

BENJAMIN

Business Name

HOLLY J BENJAMIN

Original Issue Date

05/11/1994

Effective Date

05/11/1994

Expiration Date

06/23/1997

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006